Application – Miami March of the Living

March of the Living 2022-2023 Application

RM_Stats

Page 1
Page 2
Page 3
Page 4
Page 5

Please complete all fields to the best of your ability.

*Denotes a required field

Applicant Information

Registrant(Teen) First Name^*

Registrant(Teen) Last Name^*

Registrant(Teen) Email Address^*

Preferred First Name that would appear on name tags

Date of Birth^*

Home County^*

Gender^*

Male
Female

Street Address^*

City^*

State^*

Zip Code^*

Registrant(Teen) Cellphone Number^*

Home Phone

T-shirt Size^*

Jacket Size^*

Do you speak Hebrew?^*

Do you speak Spanish?^*

Name of school you currently attend:^*

Grade as of September 1, 2022^*

Please provide your current GPA (unweighted)^*

Please complete all fields to the best of your ability.

*Denotes a required field

Parent/Guardian Information

Parents Marital Status^*

Do you live with...^*

Parent/Guardian #1 First Name^*

Parent/Guardian #1 Last Name^*

Parent/Guardian #1 Email^*

Parent/Guardian #1 Cell Phone^*

Parent/Guardian #1 Work Phone

Parent/Guardian #1 Street Address^*

Parent/Guardian #1 City^*

Parent/Guardian #1 State^*

Parent/Guardian #1 Zip Code^*

Is Parent/Guardian #1 Jewish?^*

Can we contact Parent/Guardian #1?^*

Parent/Guardian #2 First Name^*

Parent/Guardian #2 Last Name^*

Parent/Guardian #2 Email^*

Parent/Guardian #2 Cell Phone^*

Parent/Guardian #2 Work Phone

Parent/Guardian #2 Street Address^*

Parent/Guardian #2 City^*

Parent/Guardian #2 State^*

Parent/Guardian #2 Zip Code^*

Is Parent/Guardian #2 Jewish?^*

Can we contact Parent/Guardian #2?^*

My Parent/Guardian would like to apply for Financial Assistance (FA)?^*

Please complete all fields to the best of your ability.

*Denotes a required field

Did you attend Alexander Muss High School in Israel (HSI)?^*

When did you attend HSI?^*

Do you have any Jewish School experience? (include primary, secondary, or supplementary/aftercare programs)^*

Name of Jewish Schools & Grades Attended^*

Do you have any camp/youth group experience?(include overnight, day camp, and any youth groups)^*

Name of Camps/Youth Groups & Years Attended^*

How do you identify Jewishly? (Click on all that apply)^*

Reform
Reconstructionist
Humanistic
Conservative
Traditional
Orthodox (Ashkenazic)
Orthodox (Sephardic)
Just Jewish
Culturally Jewish
Other

Your Family's Synagogue Affiliation/Membership^*

Are you Shomer/et Shabbat?^*

Please explain your observance on Shabbat^*

Do you have siblings and/or parents that participated in Miami's March of the Living?^*

Name your family members that have participated in Miami's March of the Living as well as the year they attended^*

Please list all leadership positions you have held as a camp counselor, teacher, youth group board member both in Jewish and secular communities in the last three years.^*

Do you play any musical instruments?^*

Do you have experience leading groups?^*

Please explain^*

Would you feel comfortable leading services in a group?^*

Would you feel comfortable leading other group activities? (i.e. a presentation at one of the sites or during a pre-session)^*

Please list any volunteer/community service experience along with the year in which it was performed over the last three years.^*

PRIOR TRAVEL EXPERIENCE

Have you traveled outside of the United States before?^*

Have you ever traveled as part of a student group/delegation WITHOUT your parents/family?^*

Have you traveled domestically since March 2020?^*

Have you traveled out of the country since March 2020?^*

How many times have you been to Israel?^*

List your favorite hobbies, talents and interests:^*

Please complete all fields to the best of your ability.

*Denotes a required field

HOLOCAUST CONNECTION

Do you have any family or close family friends who survived the Holocaust and are still living?^*

Do you know their story?^*

Do you have any family or close family friends who survived the Holocaust and are deceased?^*

Do you know their story?^*

Do you have any family or close family friends who perished in the Holocaust?^*

Do you know their story?^*

DIETARY REQUIREMENT/PREFERENCES

Do you have any food allergies or dietary requirements other than keeping kosher?^*

Please explain^*

Do you have any allergies that we should be aware of?^*

Please explain^*

Please complete all fields to the best of your ability.

*Denotes a required field

PLEASE ANSWER THE FOLLOWING IN FULL COMPLETE SENTENCES

ABOUT 3-4 SENTENCES FOR EACH QUESTION.

What aspects of Jewish life do you connect with most strongly?^*

What interests you most regarding the opportunity to participate on the March of the Living?^*

Please explain what you hope to gain from the March of the Living experience and what you will do with it.^*

Do you feel a strong responsibility to the Jewish people, it's customs, tradition and history?^*

Do you understand that if we are able to travel the March requires a great deal of physical exertion and can be physically and emotionally demanding, with lack of sleep and we will walk approximately 5 miles per day:^*

Have you recently experienced a traumatic event in your life?^*

Please explain^*

How did you learn about the March of the Living?^*

Siblings
Parents
Friends
School
Rabbi
Youth Group
Past Marcher
March Recruitment Event
Other

Note: It looks like JavaScript is disabled in your browser. Some elements of this form may require JavaScript to work properly. If you have trouble submitting the form, try enabling JavaScript momentarily and resubmit. JavaScript settings are usually found in Browser Settings or Browser Developer menu. .rm_next_btn {display:none !important} .rm_noscript_btn {display: block !important}

__CONFIG_colors_palette__{"active_palette":0,"config":{"colors":{"f3080":{"name":"Main Accent","parent":-1},"f2bba":{"name":"Main Light 10","parent":"f3080"},"trewq":{"name":"Main Light 30","parent":"f3080"},"poiuy":{"name":"Main Light 80","parent":"f3080"},"f83d7":{"name":"Main Light 80","parent":"f3080"},"frty6":{"name":"Main Light 45","parent":"f3080"},"flktr":{"name":"Main Light 80","parent":"f3080"}},"gradients":[]},"palettes":[{"name":"Default","value":{"colors":{"f3080":{"val":"rgba(23, 23, 22, 0.7)"},"f2bba":{"val":"rgba(23, 23, 22, 0.5)","hsl_parent_dependency":{"h":60,"l":0.09,"s":0.02}},"trewq":{"val":"rgba(23, 23, 22, 0.7)","hsl_parent_dependency":{"h":60,"l":0.09,"s":0.02}},"poiuy":{"val":"rgba(23, 23, 22, 0.35)","hsl_parent_dependency":{"h":60,"l":0.09,"s":0.02}},"f83d7":{"val":"rgba(23, 23, 22, 0.4)","hsl_parent_dependency":{"h":60,"l":0.09,"s":0.02}},"frty6":{"val":"rgba(23, 23, 22, 0.2)","hsl_parent_dependency":{"h":60,"l":0.09,"s":0.02}},"flktr":{"val":"rgba(23, 23, 22, 0.8)","hsl_parent_dependency":{"h":60,"l":0.09,"s":0.02}}},"gradients":[]},"original":{"colors":{"f3080":{"val":"rgb(23, 23, 22)","hsl":{"h":60,"s":0.02,"l":0.09}},"f2bba":{"val":"rgba(23, 23, 22, 0.5)","hsl_parent_dependency":{"h":60,"s":0.02,"l":0.09,"a":0.5}},"trewq":{"val":"rgba(23, 23, 22, 0.7)","hsl_parent_dependency":{"h":60,"s":0.02,"l":0.09,"a":0.7}},"poiuy":{"val":"rgba(23, 23, 22, 0.35)","hsl_parent_dependency":{"h":60,"s":0.02,"l":0.09,"a":0.35}},"f83d7":{"val":"rgba(23, 23, 22, 0.4)","hsl_parent_dependency":{"h":60,"s":0.02,"l":0.09,"a":0.4}},"frty6":{"val":"rgba(23, 23, 22, 0.2)","hsl_parent_dependency":{"h":60,"s":0.02,"l":0.09,"a":0.2}},"flktr":{"val":"rgba(23, 23, 22, 0.8)","hsl_parent_dependency":{"h":60,"s":0.02,"l":0.09,"a":0.8}}},"gradients":[]}}]}__CONFIG_colors_palette__